Written exam Flashcards
4 methods of obturation
Single point
Cold lateral condensation
Warm lateral compaction
Warm vertical condensation
What is C-factor
The ratio of the bonded to the unbonded surfaces
3 features of composite layering technique
Reduces shrinkage stress
Time consuming process
Requires frequent instrument changing
3 tips to avoid distal drift of SDR
Cure immediately after the SDR has set
Use a sharp probe to drag the SDR mesially
Place in smaller increments than 4 mm
2 indications of calcimol LC
Indirect pulp capping
Lining under deep amalgam restorations
2 indications of dycal
Direct pulp capping
Cavity liner
3 indications of vitrebond
Indirect pulp capping
Liner under amalgam, deep composite, ceramic restorations
Liner over Dycal during direct pulp caps
Contraindication to vitrebond
Patients with known acrylate allergy
8 indications of biodentine
Temporary enamel restoration
Permanent dentine restoration
Deep or large cavities
Direct pulp capping
Root perforations
Internal/external resorptions
Apexification
Retrograde surgical filling
6 indications of GC Fuji IX
Peadiatric restorations
Non-load bearing Class I and II restorations
Class V and root surface restorations
Core Build up
Sandwich technique
Temporary restorations
7 indications of RIVA self cure HV
Non stress bearing Class I and Class II cavities
Pediatric/geriatric restorations
Sandwich technique
Cervical restorations
Core build ups
ART technique
Temporary restorations
6 indications of GC Fuji Triage
Fissure protection
Root surface protection
Hypersensitivity prevention and control
Paediatric restoration
Temporary restoration
Intermediate restorations
2 contraindications to Fuji triage
Pulp capping
Sensitivity
7 indications of Equia forte HT
Class I restorations
Non-bearing and load-bearing Class II restorations
Class V and root surface restorations
Core build-up
Restorations of hypomineralised teeth
Geriatric/pediatric restorations
ART technique
Intermediate restorations
4 advantages of sectional matrix bands
Tighter, lower contacts
Restore natural anatomy
Tight marginal seal
Ring separates teeth
4 disadvantages of sectional matrix bands
Restoration of a 3 surface cavity will require multiple rings
Technique sensitive
Requires a proximal tooth
Must protect the airways when placing small components
4 favourable endodontic outcomes
Absence of pain, swelling and other symptoms
No sinus tract
No loss of function
Radiological evidence of a normal periodontal ligament space around root
What is occlusion
The stationary contact between opposing teeth
What is involved in posterior guidance
TMJ, glenoid fossa, disc
What is involved in anterior guidance
Teeth contacting during lateral/protrusive mandibular movements
What is intercuspal position
The relationship of mandible at which teeth interdigitate maximally
What is retruded contact position
The relationship of mandible to maxilla on the retruded arc of closure, at which initial tooth contact occurs
What is canine guidance
During lateral excursion of the mandible the canines are the teeth which guide the mandibles movement and the last to disclude
What is group function
During lateral excursion of the mandible, the tooth contact which guides the movement is shared between multiple teeth on the working side
What are occlusal interferences
A contact between teeth in one of the excursions of the mandible interrupting free sliding movement
5 causes of amalagm failure
Recurrent caries
Marginal ditching
Excessive creep
Bulk fracture
Loss of retention
6 vehicles of fluoride delivery
Water fluoridation
Milk fluoridation
Fluoride toothpaste
Fluoride varnish
Fluoride tablets
Fluoride rinses
Concentrations of high fluoride toothpaste
2800ppm
5000ppm
7 portals of bacterial entry
Dental caries
Trauma
Fractures
Iatrogenic
Accelerated tooth wear
Microleakage from restorations
Periodontal ligament
5 methods of working length determination
Previous radiographs
Average values
Diagnostic working length radiograph
Electronic apex locators
Tactile sensation
3 disadvantages of SS hand-files
Larger diameter files are quite rigid and harder to pre-bend if needed
Takes longer to achieve a correctly tapered preparation
It is harder to achieve a fully uniform preparation
4 advantages of rotary filing with NiTi files
Can undergo greater stresses than SS without breakage
Resists permanent deformation
Larger files are still flexible
Tapered preparation produced more quickly and with fewer files
3 disadvantages of rotary filing with NiTi files
NiTi files are liable to fracture
Excessive torsional stresses are created
Larger NiTi files undergo greater stresses when rotated in a curved root canal
8 ways to prevent hypochlorite incidents
Pre-op IOPA
Sealed rubber dam
Straight line access to canals
Correct working length
Only use side vented, screw-on needles (Luer-Lock)
Needle should be passive and never engage the canal walls
Needle must not reach WL (2mm short)
Deliver irrigant with minimal pressure
What area is most vulnerable area to an overhang of a restorative material
Gingival floor of a Class II cavity
Describe pulpitis
Inflammation of the pulp as a result of pulp tissue exposure to an insult
Describe the presentation of a normal pulp
Asymptomatic
Transient response to thermal/electric stimuli
Describe the presentation of reversible pulpitis
No spontaneous pain
Heightened response to thermal/electric stimuli
Transient response to thermal/electric stimuli
Describe the presentation of symptomatic irreversible pulpitis
Localised, moderate/severe spontaneous pain
Heightened response to thermal/electric stimuli
Lingering response
Describe the presentation of asymptomatic irreversible pulpitis
No clinical symptoms
Mild and transient response to thermal/electric stimuli (1/2 seconds)
Describe the presentation of pulp necrosis
Pulp non-responsive to pulp testing
5 management strategies for pulpal disease
Indirect pulp cap
Direct pulp cap
Partial pulpotomy
Complete pulpotomy
Pulpectomy (RCT)
7 contraindications to RCT
Inadequate access
Poor oral hygiene
Patient’s general medical state
Patient attitude
Tooth not restorable
Advanced periodontal disease
Root fracture
8 tooth restorability considerations when assessing endodontic difficulty
Position of tooth in arch
Tooth inclination and rotation
Crown morphology after caries removal
Canal morphology
Root curvature
Apical morphology
Canal calcification
Root resorption
3 levels of difficulty relating to each endodontic consideration and their values
Minimal: 1 point value
Moderate: 2 point value
High: 5 point value
How does level of difficulty affect who is capable of doing endodontic treatment
< 20 points: dental student could treat
20 – 40 points: graduate dentist could treat
> 40 points: should be referred to specialist trainee or specialist
5 reasons to stop endodontic treatment
Unable to find all expected canals
Blocked canal which you are unable to negotiate to >3mm of apex
Separated instrument
Perforation
Severe ledge or apical transportation
Objectives of endodontic treatment
Clean: remove diseased tissue, eliminate irritants
Shape: facilitate optimal irrigation, debridement and placement of local medicaments, and permanent root filling
Fill: prevent recontamination, create a complete coronal seal
Number of canals and average root length in Maxillary central incisor
Number of canals: 1
Average root length: 23 mm
Number of canals and average root length in Maxillary lateral incisor
Number of canals: 1
Average root length: 22 mm
Number of canals and average root length in Maxillary canine
Number of canals: 1
Average root length: 26 mm
Number of canals and average root length in
Maxillary 1st premolar
Number of canals: 2, 1 or 3
Average root length: 21 mm
Number of canals and average root length in
Maxillary 2nd premolar
Number of canals: 1 or 2
Average root length: 21 mm
Number of canals and average root length in
Maxillary 1st molar
Number of canals: 4 or 3
Average root length: 22 mm
Number of canals and average root length in
Maxillary 2nd molar
Number of canals: 3 or 4
Average root length: 20 mm
Number of canals and average root length in
Mandibular incisors
Number of canals: 1 or 2
Average root length: 21 mm
Number of canals and average root length in
Mandibular canines
Number of canals: 1 or 2
Average root length: 24 mm
Number of canals and average root length in
Mandibular 1st premolars
Number of canals: 1 or 2
Average root length: 22 mm
Number of canals and average root length in
Mandibular 2nd premolars
Number of canals: 1 or 2
Average root length: 22 mm
Number of canals and average root length in
Mandibular 1st molars
Number of canals: 3 or 4
Average root length: 21 mm
Number of canals and average root length in
Mandibular 2nd molars
Number of canals: 3 or 2
Average root length: 20 mm
5 common problems caused by incorrect hand-filing techniques in curved canals
Dentine debris and pulp remnants packed into the apical part of the canal
Ledging
Apical zip
Perforation
Strip perforation
5 benefits of PTU files
High cutting power
Increased apical taper for better canal cleaning
Better debris removal
Optimisation of the hydraulics of the irrigation fluid
Very flexible and does not require pre-curving to negotiate curved canals
Settings on X-smart machines
Auto-reverse
Motor speed of 400rpm
Torque of 4Ncm
Reason for recapilitation
Removes any debris formed by the rotary instruments which may have fallen to the bottom of the canal causing a blockage and maintains patency of apex
3 chemical irrigants
Sodium Hypochlorite (NaOCl) 2%
Chlorhexidine 2%
Ethylene-diamine tetracetic acid (EDTA) 17%
3 root canal sealers
Zinc Oxide Eugenol (Tubliseal)
Calcium Hydroxide (Apexit)
AH Plus
3 endodontic outcomes
Favourable
Uncertain
Unfavourable
4 conditions that improve the outcome of primary root canal treatment significantly
Pre-op absence of PA RL
Root filling eith no voids
Root filling extending to 2mm within the radiographic apex
Satisfactory coronal restoration
Describe A δ-fibres in dental pulp
Associated with acute dental pain
Convey impulses perceived as sharp, penetrating, short lasting pain
Describe C-fibres in dental pulp
Associated with pain with inflammation
Convey impulses perceived as dull, lingering, long lasting pain
5 components of the dental pulp
Pulp extracellular matrix (ECM)
Connective tissue fibres
Odontoblasts
Fibroblasts
Defence cells
What does Ionising Radiation Regulations (IRR) 2017 encompass
Protection and health of staff working with ionising radiation
What does Ionising Radiation (Medical Exposure) Regulations (IRMER) 2017 emcompass
Safe and effective use of ionising radiation when exposing patients
Describe shared decision making
A collaborative process whereby the patient is supported by the health professional to reach a decision about their care that is right for them
Fluoride toothpaste concentration for a high caries risk patients aged 10+yrs
2800ppm
Fluoride toothpaste concentration for a high caries risk patients aged 16+yrs
5000ppm
Fluoride varnish concentration
22,600ppm
3 methods of providing retention for larger amalgam restorations
Dentine pins
Dentine slots, grooves and pits
Bonded amalgams
3 consequences of polymerisation shrinkage stress
Gap formation
Post-op sensitivity
Recurrent caries